Early enteral nutrition, in patients with open abdomen
DOI:
https://doi.org/10.51481/amc.v48i1.215Keywords:
Early enteral nutrition, open abdomen, nutrition in critical careAbstract
Ojective:To observe enteral nutrition feasibility in patients with ""open abdomen"" their evolution and complications.
Methods:This is an observational study of patients with""open abdomen"" who were admitted to the Intermediate Care Unit of the Surgical Service at the Calderón Guardia Hospital between june 2003 to November 2004, with ayeyunal access for nutrition.
Results:Fifteen patients were studied with an average ageof 36 years, all of them with open abdomen and jejunalaccess, who got early enteral nutrition (36 hrs) with a poly-meric formula, starting at 23 cc/hrs and were then advanced6.6cc/ daly for 9 days, reaching 80% of the patients, 80%of threir requirements in 4.6 days. There was not mortalitybut 33% did not have good tolerance because of persisten tlea kage. Those were accordingly changed to total parenter al nutrition.
Conclusions:Enteral nutrition can be used in patients with open abdomen if they have a jejunal access and are fedwith small volumes and are advanced slowly according tothe function of their small bowel .
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